NPIMap

Individual provider Active NPI

Flint R. Packer, D.O.

  • Family Medicine Physician
  • Idaho Falls, ID
National Provider Identifier
1932259892
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O233 Issued in ID
Practice address
3614 Washington Pkwy
Idaho Falls, ID 83404-7573
Phone
(208) 552-7700
NPI assigned
Jan 11, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X O233 ID Primary

Addresses

Primary practice location

3614 Washington Pkwy
Idaho Falls, ID 83404-7573

Mailing address

3614 Washington Pkwy
Idaho Falls, ID 83404-7573
Phone (208) 552-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329001039 ID Practitioner - Family Practice 2769551795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family First Medical Center PLLCGroup PAC ID 1052480076, 18 clinicians

Practice addresses (Care Compare)

3820 Crestwood LN
Idaho Falls, ID 83404-4979
Phone 2085527700837

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
O233IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Medical Center, PLLC Family Medicine CurrentSince Feb 1, 2007 Accepting new patients
Precision Medical Care LLC Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
Family First Medical Center Past Accepting new patients
Flint R Packer DO PC Family Medicine PastSince Jul 5, 2000 Accepting new patients

Locations

3155 Channing Way
Idaho Falls, ID 83404
Phone (801) 699-6344

3155 Channing Way
Ste A
Idaho Falls, ID 83404
Phone (208) 227-0551

3614 Washington Pkwy
Idaho Falls, ID 83404
Phone (208) 535-4343

3820 Crestwood Ln
Idaho Falls, ID 83404
Phone (208) 552-7700

2965 E Tarpon Dr
Ste 110
Meridian, ID 83642
Phone (208) 552-7700

1633 W Innovation Way
Fl 5
Lehi, UT 84043
Phone (801) 699-6344

Interoperability endpoints

  • Direct secure messaging: flint.packer@ffmcif.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/21377/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBAA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Oakstone Hospice LLCIdaho Falls, ID, CCN 131596 Hospice W-2 Managing Employee (50%) Apr 22, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932259892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 WASHINGTON PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047573",
            "telephone_number": "208-552-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 WASHINGTON PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047573",
            "telephone_number": "208-552-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "FLINT",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.